| Mental Health Systems, Inc. | |
|
9465 Farnham St San Diego CA 92123-1308 | |
| (858) 573-2600 | |
| (858) 573-2602 |
| Full Name | Mental Health Systems, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9465 Farnham St, San Diego, California |
| Authorized Official Name and Position | James C Callaghan (PRESIDENT & CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Systems, Inc. 9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 | Mental Health Systems, Inc. 9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 |
| NPI Number | 1760431670 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Medicare PECOS PAC ID | 8628019320 |
|---|---|
| Medicare Enrollment ID | O20050512000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760431670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jesus A Bucardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861581993 PECOS PAC ID: 0042102469 Enrollment ID: I20040329001068 |
| Provider Name | Larry A Alb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043262454 PECOS PAC ID: 8123012390 Enrollment ID: I20040412000505 |
| Provider Name | John G Donnelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760566160 PECOS PAC ID: 9234193137 Enrollment ID: I20041118001032 |
| Provider Name | Doris T Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578522462 PECOS PAC ID: 8820045487 Enrollment ID: I20050405001341 |
| Provider Name | Indira D Adapa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588776918 PECOS PAC ID: 6103843131 Enrollment ID: I20051028000968 |
| Provider Name | Jason S Keri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811915812 PECOS PAC ID: 6800806738 Enrollment ID: I20060421000398 |
| Provider Name | Deborah R Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427098441 PECOS PAC ID: 8022013838 Enrollment ID: I20060929000506 |
| Provider Name | Martina L Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366468548 PECOS PAC ID: 1052403409 Enrollment ID: I20070815000653 |
| Provider Name | Don C Guiroy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629263512 PECOS PAC ID: 0446340442 Enrollment ID: I20071213000873 |
| Provider Name | Pamela Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912198409 PECOS PAC ID: 2668533126 Enrollment ID: I20081203000350 |
| Provider Name | Homer L Ramsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811190937 PECOS PAC ID: 7416010871 Enrollment ID: I20090112000034 |
| Provider Name | Rachel P Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316248420 PECOS PAC ID: 4082890546 Enrollment ID: I20110517000716 |
| Provider Name | Chung-lim Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033361720 PECOS PAC ID: 9032397310 Enrollment ID: I20110711000486 |
| Provider Name | Jennifer C Nagode |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043358724 PECOS PAC ID: 0244403210 Enrollment ID: I20111108000395 |
| Provider Name | Gabrielle M Cerda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407887748 PECOS PAC ID: 3476716705 Enrollment ID: I20120523000406 |
| Provider Name | Melissa E Deer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043415888 PECOS PAC ID: 0547413072 Enrollment ID: I20130114000288 |
| Provider Name | Sarah Christine Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437497963 PECOS PAC ID: 0547405995 Enrollment ID: I20130408000037 |
| Provider Name | Anas M Elsaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568765493 PECOS PAC ID: 5799901831 Enrollment ID: I20140806001724 |
| Provider Name | Aubrey A King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669577896 PECOS PAC ID: 3274625736 Enrollment ID: I20141106002492 |
| Provider Name | Lisa Thurston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891116513 PECOS PAC ID: 0547573990 Enrollment ID: I20150805006621 |
| Provider Name | Casandra Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891162384 PECOS PAC ID: 4284934936 Enrollment ID: I20151201003272 |
| Provider Name | Alison M Trexler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003104704 PECOS PAC ID: 0042514713 Enrollment ID: I20160201002560 |
| Provider Name | Diane W Kecskes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649208638 PECOS PAC ID: 8628380698 Enrollment ID: I20160310002464 |
| Provider Name | Laura A Conley-prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093179780 PECOS PAC ID: 5092006312 Enrollment ID: I20160616001782 |
| Provider Name | Dexter A Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740465541 PECOS PAC ID: 7012139660 Enrollment ID: I20161005002544 |
| Provider Name | Liza Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403993 PECOS PAC ID: 6305124504 Enrollment ID: I20161021002005 |
| Provider Name | Kaitlin J Smallwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407066335 PECOS PAC ID: 3971888389 Enrollment ID: I20170328000471 |
| Provider Name | Elizabeth Sears-wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215394382 PECOS PAC ID: 0648530949 Enrollment ID: I20180206001454 |
| Provider Name | Keegan Andrew Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417471459 PECOS PAC ID: 7315208816 Enrollment ID: I20180226000755 |
| Provider Name | Ana J Popoca-logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437262219 PECOS PAC ID: 6608177134 Enrollment ID: I20180501001578 |
| Provider Name | Kimberly A Loda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346381423 PECOS PAC ID: 0749536068 Enrollment ID: I20180912002675 |
| Provider Name | Sean Patrick Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518458165 PECOS PAC ID: 7214291731 Enrollment ID: I20190102001084 |
| Provider Name | Julie K Marhefka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699077123 PECOS PAC ID: 5799936712 Enrollment ID: I20190122002656 |
| Provider Name | Samantha L Aument |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104238625 PECOS PAC ID: 3072854835 Enrollment ID: I20190404002727 |
| Provider Name | Rita M Moufarrege |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740789072 PECOS PAC ID: 3173857893 Enrollment ID: I20190628000608 |
| Provider Name | Daniel K Magos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578983664 PECOS PAC ID: 2567796733 Enrollment ID: I20191202001650 |
| Provider Name | Lawrence W Bryer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922395797 PECOS PAC ID: 8921431479 Enrollment ID: I20191213001884 |
| Provider Name | Ngozi Anyanacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760989834 PECOS PAC ID: 5395172100 Enrollment ID: I20200217001151 |
| Provider Name | Kat T Balingit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790605 PECOS PAC ID: 7012348238 Enrollment ID: I20200502000191 |
| Provider Name | Jamie M Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356650634 PECOS PAC ID: 7416379706 Enrollment ID: I20200619002036 |
| Provider Name | Mitchell M Cuomo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275915654 PECOS PAC ID: 1355766734 Enrollment ID: I20200728000260 |
| Provider Name | David Lindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902275068 PECOS PAC ID: 6103243316 Enrollment ID: I20200902003144 |
| Provider Name | Roberta Maixner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487803151 PECOS PAC ID: 5597097204 Enrollment ID: I20211111001354 |
| Provider Name | Wences A Savaiki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205345261 PECOS PAC ID: 7214322643 Enrollment ID: I20220321002049 |
| Provider Name | Lisa M Brott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770607897 PECOS PAC ID: 3476931106 Enrollment ID: I20220608000804 |
| Provider Name | Thy A Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083277255 PECOS PAC ID: 8628457694 Enrollment ID: I20220622000421 |
| Provider Name | Abera Y Tesfaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396339727 PECOS PAC ID: 2769865633 Enrollment ID: I20220810003140 |
| Provider Name | Ernestine H Passas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730636697 PECOS PAC ID: 1254709702 Enrollment ID: I20221115001477 |
| Provider Name | Saffire N Mccool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700462660 PECOS PAC ID: 2466822911 Enrollment ID: I20221228001600 |
| Provider Name | Sujey Diaz-blanchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295879971 PECOS PAC ID: 3274903596 Enrollment ID: I20230103001534 |
| Provider Name | Amy M Nordeen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497002042 PECOS PAC ID: 9234509381 Enrollment ID: I20230105001997 |
| Provider Name | Ian F Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871174748 PECOS PAC ID: 8224408257 Enrollment ID: I20230106002553 |
| Provider Name | Bonnie J Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861470197 PECOS PAC ID: 3072556000 Enrollment ID: I20230421002415 |
| Provider Name | Margo J Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306143441 PECOS PAC ID: 0941669543 Enrollment ID: I20230629002222 |
| Provider Name | Jake Wh Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154896785 PECOS PAC ID: 4385003888 Enrollment ID: I20230630001420 |
| Provider Name | Johanna Bermudez Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639647647 PECOS PAC ID: 3779966940 Enrollment ID: I20230713001978 |
| Provider Name | Lea P Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771932 PECOS PAC ID: 9436562733 Enrollment ID: I20230831003649 |
| Provider Name | Amy Frazier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871693952 PECOS PAC ID: 4284621657 Enrollment ID: I20231013001126 |
| Provider Name | Jason A Hespenhide |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669925376 PECOS PAC ID: 8325491806 Enrollment ID: I20240131004044 |
| Provider Name | Rosa A Cabral |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528658929 PECOS PAC ID: 7719323948 Enrollment ID: I20240311002782 |
| Provider Name | Mackenzie C Magnuson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306438999 PECOS PAC ID: 0345687075 Enrollment ID: I20240318001695 |
| Provider Name | Anna M Rainville |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295235380 PECOS PAC ID: 3577900174 Enrollment ID: I20240319000856 |
| Provider Name | Amanda L Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538730536 PECOS PAC ID: 1850739913 Enrollment ID: I20240409001800 |
| Provider Name | Christine L Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861921926 PECOS PAC ID: 7416396072 Enrollment ID: I20240415003671 |
| Provider Name | Alexis E Rashdan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568941847 PECOS PAC ID: 9931554052 Enrollment ID: I20240422000763 |
| Provider Name | Tiffany N Tucker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447555123 PECOS PAC ID: 7719329887 Enrollment ID: I20240522000392 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
The Center For Behavior Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7676 Hazard Center Dr Ste 500, San Diego, CA 92108 Phone: 619-876-8261 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
Alba Community School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Adapt Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |